Individual provider Active NPI

Debra M Little, M.D.

  • Psychiatry Physician
  • Merrimac, MA
National Provider Identifier
1154571016
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
235270 Issued in MA
Practice address
20 Lakewoods Dr
Merrimac, MA 01860-1227
Phone
(508) 471-8348
Fax
(978) 384-8157
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 235270 MA Primary

Addresses

Primary practice location

20 Lakewoods Dr
Merrimac, MA 01860-1227

Mailing address

20 Lakewoods Dr
Merrimac, MA 01860-1227
Phone (508) 471-8348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081110000031 MA Practitioner - Psychiatry 4789743592 Reassigns benefits to 2 organizations
I20170320000830 MI Practitioner - Psychiatry 4789743592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Livingston County Community Mental Health AuthorityGroup PAC ID 9739178021, 12 clinicians

Practice addresses (Care Compare)

2280 E Grand River Ave
Howell, MI 48843-8503
Phone (517) 546-4126

Hospital & facility affiliations

  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
235270MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling of Bristol County, Inc. CurrentSince Aug 6, 2017 Accepting new patients
Eliot Community Human Services Current Accepting new patients
Community Counseling of Bristol County Inc CurrentSince Aug 6, 2017 Accepting new patients
Livingston County Community Mental Health Authority CurrentSince Feb 13, 2017 Accepting new patients
Eliot Community Human Services CurrentSince Apr 25, 2016 Accepting new patients
Child & Family Services, Inc. PastSince Feb 10, 2023 Accepting new patients

Locations

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

622 E Grand River Ave
Howell, MI 48843
Phone (517) 548-0081

2280 E Grand River Ave
Howell, MI 48843
Phone (517) 546-4126

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1154571016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LAKEWOODS DR",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "018601227",
            "telephone_number": "508-471-8348",
            "fax_number": "978-384-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LAKEWOODS DR",
            "city": "MERRIMAC",
            "state": "MA",
            "postal_code": "018601227",
            "telephone_number": "508-471-8348",
            "fax_number": "978-384-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "DEBRA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "235270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimac, MA

Sources for this page

Verify at the official NPI Registry.